eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
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4/2024
vol. 19
 
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abstract:
Review paper

Microbiota modifications in prehabilitation – the next step towards comprehensive preparation for surgery. The scoping review

Igor Łoniewski
1
,
Tomasz Banasiewicz
2
,
Jerzy Sieńko
3
,
Karolina Skonieczna-Zydecka
1
,
Ewa Stachowska
4

  1. Department of Biochemical Science, Pomeranian Medical University, Szczecin, Poland
  2. Department of General Surgery, Endo- and Gastroenterological Oncology, Poznan University of Medical Sciences, Poznan, Poland
  3. Institute of Physical and Cultural Sciences, University of Szczecin, Szczecin, Poland
  4. Department of Human Nutrition and Metabolomics, Pomeranian Medical University, Szczecin, Poland
Gastroenterology Rev 2024; 19 (4): 347–361
DOI: https://doi.org/10.5114/pg.2024.145833
Online publish date: 2024/12/11
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This scoping review highlights the role of microbiota modifications in prehabilitation for surgical patients. It emphasises the importance of optimising gut microbiota through probiotics, synbiotics, and postbiotics to reduce surgical complications, such as surgical site infections (SSIs). The review highlights that gut dysbiosis, worsened by surgery, stress, antibiotics, and poor diet, can lead to increased infection risk and slower recovery. Evidence from systematic reviews, meta-analyses, and randomised controlled trials suggests that microbiota-targeted interventions can reduce SSIs, enhance immune responses, and promote quicker recovery. The review advocates for an individualised approach to prehabilitation, incorporating microbiota modifications based on patient-specific factors and surgery type. However, it also notes the need for further research to standardise therapeutic regimens and confirm the safety and efficacy of these interventions in clinical practice.
keywords:

prehabilitation, surgery, microbiota, probiotics
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